| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $858.08 | $1,118.52 | $1,869.61 | |
United
| Facility | $450.00 | $450.00 | $450.00 |
Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $858.08 | $1,118.52 | $1,869.61 | |
United
| Facility | $450.00 | $450.00 | $450.00 |